Penyuluhan Teknik Counter-Pressure Massage sebagai Upaya Non-Farmakologis Pengurangan Nyeri Persalinan di UPTD Puskesmas Gempol Kabupaten Cirebon
DOI:
https://doi.org/10.53770/amjpm.v5i1.584Keywords:
Penyuluhan, Counter-Pressure Massage, Nyeri Persalinan, Non-FarmakologisAbstract
Nyeri persalinan merupakan salah satu faktor yang dapat meningkatkan kecemasan dan memperpanjang proses persalinan. Sebagian besar ibu hamil di wilayah kerja UPTD Puskesmas Gempol Kabupaten Cirebon belum mengetahui metode nonfarmakologis untuk mengurangi nyeri, salah satunya teknik counter-pressure massage (CPM) . Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan ibu hamil mengenai teknik tersebut sehingga dapat diaplikasikan pada proses persalinan. Metode pelaksanaan meliputi penyuluhan dan pelatihan menggunakan pendekatan ceramah interaktif, diskusi, demonstrasi, dan praktik langsung. Evaluasi dilakukan melalui pre-test dan post-test untuk mengukur peningkatan pengetahuan. Responden sebanyak 20 orang terdiri dari ibu hamil trimester III yang memenuhi kriteria inklusi. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan yang signifikan setelah intervensi, ditandai dengan kenaikan rata-rata skor post-test dibandingkan pre-test. Partisipasi aktif terlihat selama proses demonstrasi dan praktik, di mana peserta mampu mempraktikkan teknik counter-pressure dengan benar. Kesimpulan dari kegiatan ini adalah pelatihan counter-pressure massage (CPM) efektif dalam meningkatkan pengetahuan ibu hamil serta berpotensi mengurangi nyeri persalinan secara aman dan alami. Intervensi ini direkomendasikan untuk diintegrasikan dalam program pendidikan antenatal di fasilitas kesehatan primer.
References
Ahmar, H., Sofyana, S., Suciati, S., Ernawati, E., & Liantanty, F. (2025). Labor Position and Its Impact on The Birth Process: A Literature Review. Journal of Current Health Sciences, 5(2), 97-108. https://doi.org/10.47679/jchs.2025115
Alizadeh-Dibazari, Z., Abdolalipour, S., & Mirghafourvand, M. (2023). The effect of prenatal education on fear of childbirth, pain intensity during labour and childbirth experience: a scoping review using systematic approach and meta-analysis. BMC pregnancy and childbirth, 23(1), 541. https://doi.org/10.1186/s12884-023-05867-0
Astuti, L. P., Gunarmi, G., & Dedi, B. (2022). Manajemen Nyeri Persalinan Dengan Belt Ball. Jurnal Kebidanan, 145-156. https://doi.org/10.35872/jurkeb.v14i02.553
Aviva, A. N., Norhapifah, H., Astutik, W., & Risnawati, R. (2025). Gambaran Intensitas Nyeri Persalinan dan Kecemasan Pada Ibu Bersalin Kala I di Puskesmas Tepian Buah. Innovative: Journal Of Social Science Research, 5(2), 3459-3472.
Bolbol-Haghighi, N., Masoumi, S. Z., & Kazemi, F. (2016). Effect of Massage Therapy on Duration of Labour: A Randomized Controlled Trial. Journal of clinical and diagnostic research : JCDR, 10(4), QC12–QC15. https://doi.org/10.7860/JCDR/2016/17447.7688
Chang, M. Y., Wang, S. Y., & Chen, C. H. (2002). Effects of massage on pain and anxiety during labour: a randomized controlled trial in Taiwan. Journal of advanced nursing, 38(1), 68-73. https://doi.org/10.1046/j.1365-2648.2002.02147.x
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: a new theory. Science, 150(3699), 971–979. https://doi.org/10.1126/science.150.3699.971
Istiana, S. ., & Kusumawati, E. (2022). Efek Kejadian Covid-19 Terhadap Kehamilan (Studi Kasus Di RSUD KRMT Wongsonegoro). Ahmar Metastasis Health Journal, 2(2), 87–93. https://doi.org/10.53770/amhj.v2i2.123
Iryani, D., & Simanjuntak, M. K. (2025). Optimalisasi Peran Bidan Dalam Manajemen Nyeri Persalinan Melalui Edukasi Terapi Endorphine Massage dan Pijat Oksitosin. Ahmar Metakarya: Jurnal Pengabdian Masyarakat, 4(2), 241–250. https://doi.org/10.53770/amjpm.v4i2.386
Katz, J., & Rosenbloom, B. N. (2015). The golden anniversary of Melzack and Wall’s gate control theory of pain: Celebrating 50 years of pain research and management. Pain Research & Management: The Journal of the Canadian Pain Society, 20(6), 285. https://doi.org/10.1155/2015/865487
Newton-Wellesley Hospital. (2014). Nonpharmacologic Pain Management During Labor. Newton-Wellesley Hospital. Retrieved from: https://www.nwh.org/patient-guides-and-forms/maternity-guide/maternity-chapter-3/comfort-measures-during-labor-and-delivery-non-pharmacological-methods
Nori, W., Kassim, M. A. K., Helmi, Z. R., Pantazi, A. C., Brezeanu, D., Brezeanu, A. M., ... & Serbanescu, L. (2023). Non-pharmacological pain management in labor: a systematic review. Journal of Clinical Medicine, 12(23), 7203. https://doi.org/10.3390/jcm12237203
Prameswari, D. A., & Yanti, L. (2024). Case Study of Counter Pressure Therapy and Five Finger Hypnosis to Reduce Pain Intensity and Anxiety in the First Stage of Labor. Jurnal Kebidanan Kestra (JKK), 7(1), 74-79. https://doi.org/10.35451/jkk.v7i1.2273
Rejeki, S., Widayati, E., Machmudah, M., & Yanto, A. (2021). Decreasing labor pain through sacralist counter-pressure therapy using tennis ball in the mother during the labor process. Open Access Macedonian Journal of Medical Sciences, 9(T4), 83–86. https://doi.org/10.3889/oamjms.2021.5817
Serçekuş, P., & Başkale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery, 34, 166–172. https://doi.org/10.1016/j.midw.2015.11.016
Smith, C. A., Levett, K. M., Collins, C. T., Dahlen, H. G., Ee, C. C., & Suganuma, M. (2018). Massage, reflexology and other manual methods for pain management in labour. Cochrane Database of Systematic Reviews, 2018(3), CD009290. https://doi.org/10.1002/14651858.CD009290.pub3
Sriayuningtyas, E., & Galaupa, R. (2022). The Effect of Counter Pressure and Kneading Techniques on Reducing The Intensity of Labor Pain in The First Stage of Active Phase. International Journal of Health and Pharmaceutical (IJHP), 2(4), 676-679. https://doi.org/10.51601/ijhp.v2i4.86
Wahyuni, R. S., Sari, H., Mulyani, S., & Lestari, E. P. (2023). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Intensitas Nyeri Pada Pasien Inpartu Kala I. Ahmar Metastasis Health Journal, 3(1), 33–36. https://doi.org/10.53770/amhj.v3i1.192
Wijayanti, I. ., & Wardhani, Y. (2023). Efektifitas Terapi Musik Terhadap Pengurangan Nyeri Persalinan Kala 1 Fase Aktif. Ahmar Metastasis Health Journal, 2(4), 179–184. https://doi.org/10.53770/amhj.v2i4.154
Wulandari, M. A., Rukmaini, & Choirunissa, R. (2023). Decreasing Labor Pain with Counter-Pressure Massage During The First Stage of Labor Active Phase. Journal of Nursing and Health, 4(1), 25-31. https://doi.org/10.31539/josing.v4i1.7306
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